Gaming machines in clubs and pubs

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Gaming machine licence forms

Listed below are all the forms relating to gaming machines.

These include all of the following:

applications for licences
applications for approvals
schedule logs for gaming machines
maintenance forms.

Name of form	What you use it for
Gaming machine venue licence application (0 BYTES) Gaming machine venue licence application PDF (106.3 KB)	Use this form to apply for a gaming machine licence if you are any of the following: the holder of a club, public hotel or tavern liquor licence referred to in Section 3 of the Gaming Machine Act 1995 a transferee of an eligible liquor licence an applicant for an eligible liquor licence.
Gaming machine application for licensee DOCX (77.2 KB) Gaming machine application for licensee PDF (114.1 KB)	Use this form if you want to do any of the following: change a gaming machine area alter a gaming machine install or cease linked jackpots acquire or dispose of a gaming machine temporarily disconnect a machine or machines.
Gaming machine increase application DOCX (177.8 KB) Gaming machine increase application PDF (220.0 KB)	Use this form if you want to add more machines to your venue
Gaming machine licence transfer application DOCX (76.1 KB) Gaming machine licence transfer application PDF (256.6 KB)	Use this form to transfer a licence from one licensee to another
Gaming machine substitution of premises application DOCX (66.9 KB) Gaming machine substitution of premises application PDF (71.1 KB)	Use this form if you are shifting your business to a new place and want to move gaming machines to it
Application for licence as a machine manager DOCX (51.8 KB) Application for licence as a machine manager PDF (241.8 KB)	Use this form to apply for a licence as a gaming machine manager, and to renew a licence
Apply for licence as a machine manager under Mutual Recognition DOCX (66.6 KB) Apply for licence as a machine manager under Mutual Recognition PDF (172.2 KB)	Use this form if you already have a machine manager's licence elsewhere in Australia or in New Zealand and want to get one in the NT
Notification of employment/cessation of a machine manager DOCX (63.7 KB) Notification of employment/cessation of a machine manager PDF (71.0 KB)	Use this form when you employ a licensed machine manager or one leaves your employment
Application for licence as a machine repairer DOCX (62.3 KB) Application for licence as a machine repairer PDF (234.7 KB)	Use this form if you want to become an approved repairer of gaming machines
Application for licence as a machine repairer under Mutual Recognition DOCX (68.0 KB) Application for licence as a machine repairer under Mutual Recognition PDF (234.4 KB)	Use this form if you already have a machine repairer's licence elsewhere in Australia or in New Zealand and want to get one in the NT
Gaming machine licence application for service contractor – body corporate DOCX (170.2 KB) Gaming machine licence application for service contractor - body corporate PDF (562.8 KB)	Use this form if you are a body corporate and want to become a service contractor
Application for recognised manufacturers or suppliers of gambling equipment DOCX (53.9 KB) Application for recognised manufacturers or suppliers of gambling equipment PDF (42.5 KB)	Use this form if you are a supplier or manufacturer of gambling equipment and want to be approved as a supplier or manufacturer
Schedule of gaming machines DOCX (48.6 KB) Schedule of gaming machines PDF (23.9 KB)	Use this form to provide information to the Director-General of Licensing about the gaming machines at your venue
Gaming machine maintenance record DOCX (49.5 KB) Gaming machine maintenance record PDF (32.5 KB)	Use this form to record details of maintenance carried out on gaming machines

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Last updated: 04 February 2020

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